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Rebecca Marie Gordon

Nurse Practitioner in New York, NY. Individual provider (NPI-1).

NPI number1801248596
StatusActive
Last updated in NPPESNov 14, 2025

Details

NPI
1801248596
Entity type
Individual (NPI-1)
Name
Rebecca Marie Gordon
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2016
Certification date
Nov 14, 2025
Last updated
Nov 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner357986NYYes
363LF0000X Nurse Practitioner, FamilyAP8807AZ

Practice location

30 Broad St Fl 45
New York, NY 10004-2942

Phone 888-663-6331 · Fax 415-252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Phone 415-658-6791

Other practice locations

2196 E Williams Field Rd Ste 116
Gilbert, AZ 85295-0755

Phone 888-663-6331 · Fax 415-252-7176

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